Transgenic Research Center In the Cancer Center

Service Requisition Form

ES cell manipulation for gene targeting

 

Which service?

Contact Data:

 

Date: Name:
Dept: PI:
Tel:    
Fax:    
E-mail:    
Lab location    

 

Billing Account Information:


Project#  (eg, 1234567)
Task# (eg, 100)
Award (rg, ACAEH)
NCI Funded? 
Name of person who has authorization over the account: 
 

A-PLAC protocol #: 
Animal Housing Location: 


Construct Name (12 character limit): 

Genomic DNA background  Concentration  ng/ul
Volume ul  Selection marker
5' arm length 3' arm length
Purification method Buffer

Is Cre recombination in ES cells required? 
 

Project and DNA Construct Description (attach restriction map):

 

Special Requirements:

 

Stanford Medicine Resources:

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